NPI 1679081053 · live from the CMS NPI Registry
Mariam Aboutaj, PA
Physician Assistant in Rockville, MD. National Provider Identifier 1679081053, active.
NPI record
| NPI | 1679081053 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 121 Congressional Ln Ste 409, Rockville, MD 20852 |
| Practice phone | 301-881-0230 |
| Enumerated | January 18, 2018 |
| Last updated | December 23, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.